Individual
SUSAN CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 E 21ST ST, INDIANAPOLIS, IN 46219-2406
(260) 338-1241
Mailing address
7701 E 21ST ST, INDIANAPOLIS, IN 46219-2406
(260) 338-1241
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31004216A
IN
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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